Kelly E Redwine Lpc Llc

LBN: Kelly E Redwine Lpc Llc
Kelly E Redwine Lpc Llc is an health care organization with primary practice located at 300 Broadway Ave , Braselton GA 30517. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. Kelly E Redwine Lpc Llc can be contacted via phone (770) 695-7501, or through Redwine, Kelly via phone (770) 695-7501.

Contact Information

Primary practice address
300 Broadway Ave Braselton GA 30517
Phone: (770) 695-7501
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Redwine, Kelly Licensed Professional Counselor (LPC)
Phone: (770) 695-7501

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X

Profile Details

NPI number 1093304297
LBN Legal business name Kelly E Redwine Lpc Llc
DBA Doing business as
Authorized official Redwine, Kelly Licensed Professional Counselor (LPC)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 12th, 2021
Last updated Oct 28th, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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